A 70-year old female with well controlled diabetes presented with a non-restorable #10 with bone loss. An atraumatic extraction was accomplished and socket preservation was completed by a different dentist in the office. 5 months later a Legacy3 3.2×11.5Â implant was placed with good primary stability. After restoration it was noted that there was bone loss along the crest of the implant. The patient was very pleased with the restoration. Is this normal die-back or implant failure? Is there anything that should be done at this point?